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  <title>买益海嘉里赢现金红包</title>
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<body class="common">
  <section class="container">
    <article class="content">

      <div class="input-group">
        <label class="input-label" for="stores">选择店面：</label>
        <select class="input-control arrow" name="stores" id="stores" >
          <option value="">请选择</option>
          <option value="1">yihaod</option>
          <option value="2">245465</option>
          <option value="10">10个以上</option>
        </select>
      </div>

      <div class="input-group">
        <label for="serial" class="input-label">流水号：</label>
        <input type="number" class="input-control" placeholder="请输入流水号" name="serial" id="serial"/>
      </div>

      <div class="input-group">
        <label for="cashier" class="input-label">收银员号：</label>
        <input type="number" class="input-control" placeholder="请输入收银员号" name="cashier" id="cashier"/>
      </div>

      <div class="input-group">
        <label for="datetime" class="input-label">购买日期：</label>
        <input type="text" class="input-control arrow" placeholder="选择购物时间" onfocus="this.blur()" readonly name="datetime" id="datetime" />
      </div>

      <div class="input-group no-m">
        <label class="input-label" for="ticket">上传小票：</label>
        <select class="input-control arrow" name="ticket" id="ticket" >
          <option value="1">整段小票</option>
          <option value="3">分段上传</option>
        </select>
        <span class="min-caption">&nbsp;*请确保小票清晰可见，长小票请选择分段上传</span>
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        <span class="min-caption" id="showstatus">&nbsp;</span>
        <button class="btn" type="button" id="imgup">立即上传</button>
        <button class="btn" type="button" id="sub" hidden>立即提交</button>
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    <a href="javascript:;" class="btn-link">查看活动规则</a>
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